Thomas E Southern in Indianapolis - Plastic Surgery
Thomas E Southern - NPI 1104996370
Thomas E Southern is a Plastic Surgery in Indianapolis, Indiana. Thomas E Southern practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Thomas E Southern is 1104996370. The last update date is 2013-03-19.
Thomas E Southern's current location address is 3520 Guion Rd, Indianapolis, Indiana. You can contact this provider via phone number 3179261356 and fax number 3179261465. The mailing address for Thomas E Southern is 3520 Guion Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thomas E Southern |
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Address | 3520 Guion Rd, Indianapolis, Indiana |
Phone Number | 3179261356 |
Fax Number | 3179261465 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1104996370 |
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Provider Enumeration Date | 2006-11-08 |
Last Updated Date | 2013-03-19 |
Provider Mailing Address Detail
Address | 3520 Guion Rd |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462221672 |
Phone Number | 3179261356 |
Fax Number | 3179261465 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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Taxonomy | 208200000X |
Licence No | 01023497A |
Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
762785 | IN | BCBS | |
100073340A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Thomas E Southern by the Centers for Medicare & Medicaid Services?
The Thomas E Southern has been issued the NPI (National Provider Identifier) 1104996370. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas E Southern located?
The Thomas E Southern is located at 3520 Guion Rd, Indianapolis, IN 462221672.
What is Thomas E Southern's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas E Southern is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104996370 to Thomas E Southern?
The Centers for Medicare & Medicaid Services originally issued the 1104996370 to Thomas E Southern on 2006-11-08.
When was the information regarding Thomas E Southern most recently updated?
The details pertaining to the Thomas E Southern, including its address, specialty, and other relevant information, were last refreshed on 2013-03-19.
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